{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "HEALTHY PATHWAYS, LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "4927 THUNDERBIRD CIR APT 4",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BOULDER",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80303-3931",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9035 WADSWORTH PKWY STE 2750",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WESTMINSTER",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80021-8669",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "303-579-0860",
"PracticeLocationAddressFaxNumber": "303-554-0188",
"EnumerationDate": "09/24/2007",
"LastUpdateDate": "09/24/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILLIX",
"AuthorizedOfficialFirstName": "MICHELLE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "LICENSED CLINICAL SOCIAL WORKER/OWN",
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"AuthorizedOfficialCredential": "LCSW, MPH",
"AuthorizedOfficialTelephoneNumber": "303-579-0860",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0801X",
"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
"LicenseNumber": "248",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}